HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTt:R7��Building & CodeRegulationsDivision®202j2300 VIRGINIA, AVENUE
FORT PIERCE, FL 34982-5652 Permitting(772) 462-1553 nty,
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
2327-502-0133-000-2 CREEKSIDE'PLAT NO.4 LOT 125@ 9616 POTOMAC DR.
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number , I acknowledge
that as owner of the above. described property, and in accordance with Section
7.04.01(D), St.. Lucie County Land Development Code,. I shall.be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
Brian W. Davidson
Property Ow r Name Please Print)
04/05/21
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF BREVARD
ACKNOWLEDGED BEFORE ME THIS 5 DAY OF AP R I L 2021
BY Brian W..Davidson WHO IS PERSONALLY KNOWN TO ME (y6R WHO HAS
PRODUCED AS IDENTIFICATION.
Dina Parrino
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
DINAPARRINO
GG 93VA3
MY COMMISSION 2024
o Fypl $' febNaiY 27, rwitters
dod lh Notary p
SLCPDSD Revised 04/11/2011 '••.,osF,,. Bon